Provider Demographics
NPI:1457076952
Name:COUNTY OF KIT CARSON
Entity type:Organization
Organization Name:COUNTY OF KIT CARSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGERQ
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-680-9860
Mailing Address - Street 1:40813 TAPADERO CIR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-9215
Mailing Address - Country:US
Mailing Address - Phone:303-680-9860
Mailing Address - Fax:303-617-0135
Practice Address - Street 1:1576 LOWELL AVE.
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1619
Practice Address - Country:US
Practice Address - Phone:719-346-8133
Practice Address - Fax:719-348-7242
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF KIT CARSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06624639Medicaid